Patricia Rogers, NURSE PRACTITIONER | |
1220 Willis Ave, Daytona Beach, FL 32114-2810 | |
(386) 236-3200 | |
Not Available |
Full Name | Patricia Rogers |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1220 Willis Ave, Daytona Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699861625 | NPI | - | NPPES |
6070190 | Medicaid | NJ |
Entity Name | Lifestream Behavioral Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902802002 PECOS PAC ID: 7012992720 Enrollment ID: O20040618000512 |
Mailing Address | Practice Location Address |
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Patricia Rogers, NURSE PRACTITIONER 1220 Willis Ave, Daytona Beach, FL 32114-2810 Ph: (386) 236-3200 | Patricia Rogers, NURSE PRACTITIONER 1220 Willis Ave, Daytona Beach, FL 32114-2810 Ph: (386) 236-3200 |
Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885 | |
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0500 | |
Charles Wright, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-238-3200 Fax: 386-238-3264 | |
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544 | |
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705 | |
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105 | |
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597 |